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Disparities in access to mobile devices and e-health literacy among breast cancer survivors

BACKGROUND: The number of e-health interventions developed for breast cancer survivors continues to increase. However, issues with engagement and retention are common. This study aimed to explore e-health literacy rates and access to smartphones and tablets in a large sample of breast cancer survivo...

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Autores principales: Moon, Zoe, Zuchowski, Mira, Moss-Morris, Rona, Hunter, Myra S., Norton, Sam, Hughes, Lyndsay D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264175/
https://www.ncbi.nlm.nih.gov/pubmed/34236506
http://dx.doi.org/10.1007/s00520-021-06407-2
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author Moon, Zoe
Zuchowski, Mira
Moss-Morris, Rona
Hunter, Myra S.
Norton, Sam
Hughes, Lyndsay D.
author_facet Moon, Zoe
Zuchowski, Mira
Moss-Morris, Rona
Hunter, Myra S.
Norton, Sam
Hughes, Lyndsay D.
author_sort Moon, Zoe
collection PubMed
description BACKGROUND: The number of e-health interventions developed for breast cancer survivors continues to increase. However, issues with engagement and retention are common. This study aimed to explore e-health literacy rates and access to smartphones and tablets in a large sample of breast cancer survivors. METHODS: In study 1, women were recruited from outpatient breast clinics across England and Wales. Eligible women were asked to complete a questionnaire pack to assess their access to devices and their e-health literacy. Multiple regression analyses were run to assess the relationship between technology access and e-health literacy with sociodemographic variables such as age, social deprivation, and education. Study 2 presents a smaller sample recruited through social media who answered a questionnaire relating to use of mobile devices and e-health, and apps. RESULTS: Two thousand nine women participated in the study. Seventy-one percent had access to a smartphone, 54% had access to a tablet, and 20% did not have access to either device. Multiple logistic regressions showed that women who were younger, had higher levels of education, and who were from less deprived areas were more likely to have access to either device. Poorer e-health literacy was associated with being older, having less education, and not having access to a mobile device. CONCLUSIONS: Whilst the results show relatively widespread access to mobile devices, there is evidence of a digital divide across some groups. Online interventions should be developed with consideration of individuals who are less e-health-literate and less technologically adept in order to increase the likelihood of engagement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-021-06407-2.
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spelling pubmed-82641752021-07-08 Disparities in access to mobile devices and e-health literacy among breast cancer survivors Moon, Zoe Zuchowski, Mira Moss-Morris, Rona Hunter, Myra S. Norton, Sam Hughes, Lyndsay D. Support Care Cancer Original Article BACKGROUND: The number of e-health interventions developed for breast cancer survivors continues to increase. However, issues with engagement and retention are common. This study aimed to explore e-health literacy rates and access to smartphones and tablets in a large sample of breast cancer survivors. METHODS: In study 1, women were recruited from outpatient breast clinics across England and Wales. Eligible women were asked to complete a questionnaire pack to assess their access to devices and their e-health literacy. Multiple regression analyses were run to assess the relationship between technology access and e-health literacy with sociodemographic variables such as age, social deprivation, and education. Study 2 presents a smaller sample recruited through social media who answered a questionnaire relating to use of mobile devices and e-health, and apps. RESULTS: Two thousand nine women participated in the study. Seventy-one percent had access to a smartphone, 54% had access to a tablet, and 20% did not have access to either device. Multiple logistic regressions showed that women who were younger, had higher levels of education, and who were from less deprived areas were more likely to have access to either device. Poorer e-health literacy was associated with being older, having less education, and not having access to a mobile device. CONCLUSIONS: Whilst the results show relatively widespread access to mobile devices, there is evidence of a digital divide across some groups. Online interventions should be developed with consideration of individuals who are less e-health-literate and less technologically adept in order to increase the likelihood of engagement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-021-06407-2. Springer Berlin Heidelberg 2021-07-08 2022 /pmc/articles/PMC8264175/ /pubmed/34236506 http://dx.doi.org/10.1007/s00520-021-06407-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Moon, Zoe
Zuchowski, Mira
Moss-Morris, Rona
Hunter, Myra S.
Norton, Sam
Hughes, Lyndsay D.
Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title_full Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title_fullStr Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title_full_unstemmed Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title_short Disparities in access to mobile devices and e-health literacy among breast cancer survivors
title_sort disparities in access to mobile devices and e-health literacy among breast cancer survivors
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264175/
https://www.ncbi.nlm.nih.gov/pubmed/34236506
http://dx.doi.org/10.1007/s00520-021-06407-2
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